Provider Demographics
NPI:1952370637
Name:RAMOS, LUIS DANIEL (MD)
Entity type:Individual
Prefix:DR
First Name:LUIS
Middle Name:DANIEL
Last Name:RAMOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8882
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-8882
Mailing Address - Country:US
Mailing Address - Phone:787-469-2269
Mailing Address - Fax:
Practice Address - Street 1:CALLE CAMUY # 3
Practice Address - Street 2:URB. BONNEVILLE
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-746-7556
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-16
Last Update Date:2012-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15417208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0022552Medicare PIN
PR22552Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER